JUPITER MEDICAL CENTER PAVILION INC (NPI# 1942296736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942296736 |
| Entity Type | Organization |
| Organization Name | JUPITER MEDICAL CENTER PAVILION INC |
| Practice Address |
1230 S Old Dixie Hwy Jupiter FL 33458-7205 |
| Practice Telephone | 5617444444 |
| Practice Fax Number | 5617455730 |
| Mailing Telephone | 5617444444 |
| Mailing Fax Number | 5617455730 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. BETSY HEARTFIELD (ADMINISTRATOR) |
| Authorized Official Telephone | 5617444444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | SNF1263096 | FL | Nursing & Custodial Care Facilities |
| Street Address |
1230 S OLD DIXIE HWY |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-7205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073914917 | Jupiter Medical Center Pavilion, Inc. | Substance Abuse Rehabilitation Facility | 1230 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2014-09-10 |
| 1801919121 | Kelly Moran | Occupational Therapist | 1230 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2007-04-10 |
| 1871616193 | Kristin Meunier | Physical Therapist | 1230 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2007-04-10 |
| 1437272754 | Dianne Sipula | Occupational Therapist | 1230 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2007-04-10 |
| 1972626299 | Susan Kerr | Occupational Therapy Assistant | 1230 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2007-04-10 |
| 1366565699 | Stephanie Polka | Physical Therapist | 1230 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2007-04-10 |
| 1861515421 | Nancy Hagopian | Occupational Therapy Assistant | 1230 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2007-04-09 |
| 1336262971 | Dawn Zaph | Physical Therapist | 1230 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2007-04-09 |
| 1841313491 | Monica Armour | Speech-Language Pathologist | 1230 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2007-04-09 |
| 1538281753 | Kristina Nicole Edwards | Physical Therapist | 1230 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2007-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
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| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114530227 | Jupiter Rehab and Health Center LLC | Skilled Nursing Facility | 650 Pioneer Rd # 5, Jupiter, FL 33458-8834 | 2020-08-28 |
| 1861477119 | Sv - Jupiter Properties Inc | Skilled Nursing Facility | 17781 Thelma Ave, Jupiter, FL 33458-7942 | 2005-12-09 |
| 1932571437 | The Rehabilitation Center At Jupiter Gardens LLC | Skilled Nursing Facility | 17781 Thelma Ave, Jupiter, FL 33458-7942 | 2015-10-22 |
| 1326289109 | Courtyard Gardens Rehabilitation Center, L.L.C. | Skilled Nursing Facility | 17781 Thelma Ave, Jupiter, FL 33458-7942 | 2009-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444708 | Center for Comprehensive Services, Inc. | Skilled Nursing Facility | 2411 Clement Rd, Lutz, FL 33549-5552 | 2020-10-16 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1043822349 | Oaks of Kissimmee Operations LLC | Skilled Nursing Facility | 320 N. Mitchell St, Kissimmee, FL 34741-4447 | 2020-08-18 |
| 1720690027 | Brynwood Operations LLC | Skilled Nursing Facility | 1656 S Jefferson St, Monticello, FL 32344-1652 | 2020-08-18 |
| 1326668120 | Key West Nursing Home Propco LLC | Skilled Nursing Facility | 5860 College Road, Key West, FL 33040 | 2020-04-21 |
| 1740800655 | Javara Troupe | Skilled Nursing Facility | 10043 Victory Gallop Loop, Ruskin, FL 33573-6744 | 2020-04-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1053944116 | Pruitthealth - Southwood, LLC | Skilled Nursing Facility | 2301 Bluff Oak Way, Tallahassee, FL 32311-6161 | 2020-02-18 |
| 1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
| 1639719081 | Retirement Five, LLC | Skilled Nursing Facility | 16605 Se 74th Souiliere Ave, The Villages, FL 32162 | 2020-01-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.